Provider Demographics
NPI:1235354523
Name:WINK, JENNIFER NOEL (ARNP)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:NOEL
Last Name:WINK
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-9357
Mailing Address - Country:US
Mailing Address - Phone:561-734-1888
Mailing Address - Fax:561-734-8235
Practice Address - Street 1:2828 S SEACREST BLVD
Practice Address - Street 2:STE 214
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-7944
Practice Address - Country:US
Practice Address - Phone:561-734-1888
Practice Address - Fax:561-734-8235
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9175148363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily